Former Michigan State University and USA Gymnastics doctor Larry Nassar was again in court Wednesday for another sentencing hearing.

Part two of the Larry Nassar victims procession continued in a Michigan courtroom Wednesday as women who said they were sexually assaulted by the former Olympic gymnastics team doctor confronted him ahead of yet another sentencing.

Nassar has already been slapped with 175 years for molesting girls he was supposed to be treating. That sentence came on top of the 60 years he was given for possession of child porn.

Nassar, 54, is facing another prison sentence — his third — for molesting gymnasts at Lansing-area gymnastics club Twistars, which was run by 2012 Olympic coach John Geddert.

Judge Janice Cunningham said that a total of 265 people have now come forward with allegations of sexual assault against Nassar.

Cunningham has set aside several days for at least 65 of those victims to confront the disgraced doctor in court.

Last month, the former Michigan State University doctor listened to more than 150 women offering gut-wrenching testimony of abuse during an emotional seven-day sentencing hearing.

The latest victims picked up where the others left off.

Jessica Thomashow, 17, said Nassar molested her at ages 9 and 12 when she had rib displacement and a stress fracture in her ankle.

“You took advantage of my innocence and trust,” Thomashow said. “You were my doctor. Why? I ask myself that question all the time. What you did to me was twisted. You manipulated me and my entire family. How dare you?”

Thomashow said injured gymnasts at Twistars were instructed to see Nassar, and not their family doctor. She said she wanted to be a sports doctor, but the dream “died” after Nassar’s abuse.

Michigan State student Katherine Ebert said she was a gymnast since the age of 5, and began seeing Nassar when she was 15.

“You are the most vile, disgusting creature I have ever met,” she told him in court. “There are black holes in my memory that come back as nightmares or flashbacks, not wanting to believe they’re true.”

Meanwhile, police admitted they mishandled the case when a 17-year-old girl complained that Nassar had molested her.